Yang Bin, Liang Ming-Juan, Zhang Yu-Chao
Department of Gastrointestinal Surgery, the Second Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510120, China.
Zhonghua Wai Ke Za Zhi. 2008 Aug 15;46(16):1234-6.
To investigate the efficacy and safety of local anesthesia and epidural anesthesia in tension-free repair of inguinal hernia.
Between January 2004 and December 2006, 269 patients underwent inguinal hernia repair were randomly divided into two groups, receiving local anesthesia (143 cases) and epidural anesthesia (126 cases). The clinical data from the two groups were analyzed retrospectively.
The operation time, ambulation time, length of hospital stay and cost of hospitalization in local anesthesia group were significantly less than those in epidural anesthesia group (P < 0.05). No significant differences were found in intra-operative use of ancillary sedation drugs, postoperative recovery situation, pain scores and operation-correlated complications between the two groups. The occurrence of postoperative anaesthetic complication rate was also significantly lower in local anesthesia group (P < 0.05). One case of recurrence occurred in each group during postoperative follow-up period.
Tension-free inguinal hernia repair under local anesthesia is a simple, safe, economical, effective procedure and superior to epidural anesthesia.
探讨局部麻醉与硬膜外麻醉在腹股沟疝无张力修补术中的疗效及安全性。
2004年1月至2006年12月期间，269例行腹股沟疝修补术的患者被随机分为两组，分别接受局部麻醉（143例）和硬膜外麻醉（126例）。对两组的临床资料进行回顾性分析。
局部麻醉组的手术时间、下床活动时间、住院时间及住院费用均显著少于硬膜外麻醉组（P<0.05）。两组在术中辅助镇静药物的使用、术后恢复情况、疼痛评分及手术相关并发症方面未发现显著差异。局部麻醉组术后麻醉并发症发生率也显著更低（P<0.05）。术后随访期间每组各有1例复发。
局部麻醉下腹股沟疝无张力修补术是一种简单、安全、经济、有效的手术方法，优于硬膜外麻醉。
